Provider First Line Business Practice Location Address:
550 S. VERMONT AVE.
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-738-4999
Provider Business Practice Location Address Fax Number:
213-637-0790
Provider Enumeration Date:
10/24/2006